Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $106.97 / $106.97 / $108.04	Facility		$106.97	$106.97	$108.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $106.97 / $106.97 / $110.18	Professional		$106.97	$106.97	$110.18
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $121.37 / $121.37	Facility		$80.00	$121.37	$121.37
Cigna Facility/Professional Facility Modifier Low / Median / High Price $100.91 / $106.97 / $106.97	Facility		$100.91	$106.97	$106.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $106.97 / $106.97 / $106.97	Professional		$106.97	$106.97	$106.97
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $112.05 / $142.30 / $171.56	Facility		$112.05	$142.30	$171.56
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $252.11 / $268.45 / $504.23	Professional		$252.11	$268.45	$504.23
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $64.75 / $106.97 / $226.78	Facility		$64.75	$106.97	$226.78
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $106.97 / $106.97 / $133.71	Professional		$106.97	$106.97	$133.71
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $65.09 / $115.53 / $302.94	Professional		$65.09	$115.53	$302.94
Providence Facility/Professional Facility Modifier Low / Median / High Price $106.97 / $106.97 / $226.34	Facility		$106.97	$106.97	$226.34
Providence Facility/Professional Professional Modifier Low / Median / High Price $106.97 / $106.97 / $111.00	Professional		$106.97	$106.97	$111.00
United Facility/Professional Professional Modifier Low / Median / High Price $106.97 / $106.97 / $108.36	Professional		$106.97	$106.97	$108.36
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $37.97 / $106.97 / $144.41	Professional		$37.97	$106.97	$144.41